Conference Proceedings - School of Nursing & Midwifery - Trinity ...

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School of Nursing & Midwifery, Trinity College Dublin: 8 th Annual Interdisciplinary Research Conference Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007 Conference Proceedings Back to contents page Postnatal Depression: Prevalence, Mothers’ Perspectives and Treatments Patricia Leahy-Warren MSc (Nursing) BSc (Nursing), HigDip PHN, RPHN, RM, RGN Health Research Board Nursing and Midwifery PhD Fellow, College Lecturer, Catherine McAuley School of Nursing and Midwifery, Brookfield health Sciences Complex, University College, Cork Ph: 00353214901461 Fax: 00353214901493 Email: patricia.leahy@ucc.ie Professor Geraldine McCarthy RGN RNT Med MSN PhD. Head of Department, Catherine McAuley School of Nursing and Midwifery, Brookfield health Sciences Complex, University College, Cork Ph: 00353214901553 Fax: 00353214901493 Email: g.mccarthy@ucc.ie Aim: This paper presents an overview of research on postnatal depression conducted with postnatal women only. Search and review methodology: Databases searched included those relevant to nursing, medicine, psychology and allied health over the past ten years. Criteria used for inclusion were research publications pertinent to prevalence rates, experiences of mothers living with postnatal depression, treatments and their efficacy. Seminal papers relevant to these areas published prior to this time were also included. The words postnatal and postpartum are used interchangeably throughout the international literature and for the purpose of this paper they are used synonymously. Analysis: Research spanning three areas is reviewed namely: prevalence, mothers’ experiences and treatments. Summary of key findings: The review shows prevalence rates to vary from 4.4% to 73.7% with the most recent systematic review suggesting a rate of 13%, indicating a serious clinical issue for nurses providing postnatal care to mothers. Mothers’ experiences of living with postnatal depression exemplify such feelings as - 487 -
School of Nursing & Midwifery, Trinity College Dublin: 8 th Annual Interdisciplinary Research Conference Transforming Healthcare Through Research, Education & Technology: 7 th – 9 th November 2007 Conference Proceedings loneliness, anxiety, hopelessness and loss of control at a time when expectations of joyousness are anticipated. Results of research on treatment options show limited success with antidepressant medication, some success with psychotherapeutic options and the importance of social support to mothers with postnatal depression. Comparisons of studies are made from methodological perspectives drawing on their strengths and limitations. Conclusions: Overall the review highlights the high prevalence rates of postnatal depression, negative feelings exemplified by mothers’ living with this condition and the limited success of treatment options available for mothers. Postnatal depression is a significant clinical issue for nurses providing postnatal care for mothers and is underassessed, misunderstood and very often poorly treated. Back to contents page - 488 -
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